Provider Demographics
NPI:1396969275
Name:SHAMSA CHIROPRACTIC, P.A.
Entity type:Organization
Organization Name:SHAMSA CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMSA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-733-8226
Mailing Address - Street 1:311 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-9615
Mailing Address - Country:US
Mailing Address - Phone:316-733-8226
Mailing Address - Fax:316-733-8447
Practice Address - Street 1:311 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9615
Practice Address - Country:US
Practice Address - Phone:316-733-8226
Practice Address - Fax:316-733-8447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty